Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6453 | CO |
NPI | 1063635738 |
---|---|
Provider Name | Dr. Scott A Johnson |
First Address | Colorado Springs, CO 80918-8926 |
Second Address | Colorado Springs, CO 80918-8926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |